This assessment should take approximately 30-60 minutes to complete. It should be completed by someone who works in infection prevention or control. There are 13 sections of the assessment. Please mark the following in response to each question:

  • "Yes" for any element that is completed and in place.
  • "In-Progress" if your facility is working on but has not yet completed and/or finalized the activity.
  • "Not Started" if the activity has not started or there are no plans to address.
  • "Not Applicable" if the activity does not apply to your facility.

Upon completion of the assessment, a PDF copy will be sent to you automatically via email. Please contact the MDH-ICAR staff at with any questions or concerns.

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